Provider Demographics
NPI:1922264886
Name:RADIOLOGICAL ANALYSIS & DIGITIZATION OF X-RAYS
Entity Type:Organization
Organization Name:RADIOLOGICAL ANALYSIS & DIGITIZATION OF X-RAYS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:CARLOS
Authorized Official - Last Name:LEE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:770-354-9203
Mailing Address - Street 1:6810 ROSWELL RD NE
Mailing Address - Street 2:SUITE 1-B
Mailing Address - City:SANDY SPRINGS
Mailing Address - State:GA
Mailing Address - Zip Code:30328-2445
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:6810 ROSWELL RD NE
Practice Address - Street 2:SUITE 1-B
Practice Address - City:SANDY SPRINGS
Practice Address - State:GA
Practice Address - Zip Code:30328-2445
Practice Address - Country:US
Practice Address - Phone:877-377-7239
Practice Address - Fax:877-409-7408
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA499132085U0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2085U0001XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic UltrasoundGroup - Single Specialty